How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $66.07 | Facility | None | $43.65 | $43.65 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $66.07 | Professional | None | $43.65 | $46.77 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $22.39 Typical High $33.11 | Professional | 52 · Reduced service | $21.88 | $22.39 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $138.04 | Professional | None | $54.95 | $83.18 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $112.20 | Professional | None | $42.66 | $67.61 | $112.20 |
Denver HMP Setting Facility Modifier None Typical Low $43.65 Median $61.66 Typical High $93.33 | Facility | None | $43.65 | $61.66 | $93.33 |
Denver HMP Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $81.28 Typical High $128.82 | Professional | None | $44.67 | $81.28 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $169.82 | Facility | None | $81.28 | $81.28 | $169.82 |
Select Health Setting Professional Modifier None Typical Low $35.48 Median $47.86 Typical High $81.28 | Professional | None | $35.48 | $47.86 | $81.28 |
United Setting Professional Modifier None Typical Low $32.36 Median $58.88 Typical High $100.00 | Professional | None | $32.36 | $58.88 | $100.00 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $33.11 Median $46.77 Typical High $72.44 | Professional | HN · Bachelor's level | $33.11 | $46.77 | $72.44 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $33.11 Median $46.77 Typical High $79.43 | Professional | HO · Master's level | $33.11 | $46.77 | $79.43 |
Where Colorado sits
The same service costs 4.1 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 15th of 51
$66.07
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.